Individual
GINA MANIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1 W MAIN ST, FLEETWOOD, PA 19522-1323
(610) 944-0445
Mailing address
1 W MAIN ST, FLEETWOOD, PA 19522-1323
(610) 944-0445
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC004309
PA
Other
Enumeration date
11/29/2006
Last updated
04/25/2013
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